Upland Hills Health Hospital & Clinics — Pricing
776 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 776 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
Showing all 776 procedures
Procedures with negotiated rates only
These 776 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $8,000 – $14,804 · median $11,376 | 6 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $8,000 – $13,307 · median $9,175 | 6 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $8,000 – $22,917 · median $16,973 | 6 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $8,000 – $15,516 · median $11,153 | 6 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $8,000 – $13,321 · median $9,503 | 6 plans |
| 795 | Normal newborn | $900 – $2,776 · median $2,099 | 6 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $5,220 – $10,476 · median $7,601 | 6 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $5,220 – $9,367 · median $6,694 | 6 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $267,824 – $389,343 · median $323,935 | 5 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $104,775 – $157,436 · median $126,727 | 5 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $203,772 – $294,887 · median $246,463 | 5 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $134,348 – $193,143 · median $162,495 | 5 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $101,255 – $145,567 · median $122,468 | 5 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $46,106 – $66,284 · median $55,766 | 5 plans |
| 007 | Lung transplant | $124,258 – $179,920 · median $150,291 | 5 plans |
| 008 | Simultaneous pancreas/kidney transplant | $51,734 – $77,866 · median $62,573 | 5 plans |
| 010 | Pancreas transplant | $75,807 – $108,983 · median $91,690 | 5 plans |
| 011 | Tracheostomy for face,mouth & neck diagnoses w MCC | $51,304 – $75,775 · median $62,053 | 5 plans |
| 012 | Tracheostomy for face,mouth & neck diagnoses w CC | $39,018 – $58,574 · median $47,193 | 5 plans |
| 013 | Tracheostomy for face,mouth & neck diagnoses w/o CC/MCC | $25,196 – $40,038 · median $30,475 | 5 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $124,572 – $179,089 · median $150,671 | 5 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $57,389 – $82,505 · median $69,413 | 5 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $57,389 – $82,505 · median $69,413 | 5 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY | $358,573 – $599,949 · median $433,697 | 5 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $75,373 – $108,358 · median $91,164 | 5 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $76,645 – $110,187 · median $92,703 | 5 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $52,554 – $75,553 · median $63,564 | 5 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $33,567 – $48,257 · median $40,600 | 5 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $54,244 – $79,612 · median $65,609 | 5 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $36,147 – $54,349 · median $43,720 | 5 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $42,523 – $63,168 · median $51,431 | 5 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $29,081 – $43,197 · median $35,174 | 5 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $23,464 – $35,051 · median $28,380 | 5 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $57,804 – $83,475 · median $69,914 | 5 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $31,916 – $47,398 · median $38,602 | 5 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $21,159 – $30,498 · median $25,592 | 5 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $39,844 – $62,249 · median $48,192 | 5 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $20,305 – $29,607 · median $24,559 | 5 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $15,170 – $23,103 · median $18,348 | 5 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $36,974 – $53,777 · median $44,720 | 5 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $21,629 – $33,212 · median $26,160 | 5 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $17,429 – $26,992 · median $21,081 | 5 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $31,575 – $45,738 · median $38,190 | 5 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $15,320 – $22,543 · median $18,530 | 5 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $10,822 – $16,332 · median $13,089 | 5 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $35,865 – $53,645 · median $43,379 | 5 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $21,471 – $30,867 · median $25,969 | 5 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $16,711 – $24,025 · median $20,212 | 5 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $19,135 – $27,509 · median $23,144 | 5 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $8,761 – $13,604 · median $10,596 | 5 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $14,253 – $21,214 · median $17,240 | 5 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $10,373 – $14,913 · median $12,547 | 5 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $23,809 – $34,229 · median $28,797 | 5 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $12,687 – $18,240 · median $15,346 | 5 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $17,551 – $25,232 · median $21,228 | 5 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $11,634 – $17,240 · median $14,071 | 5 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $8,485 – $12,779 · median $10,263 | 5 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $25,704 – $38,305 · median $31,089 | 5 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $16,933 – $24,413 · median $20,480 | 5 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $13,357 – $19,503 · median $16,155 | 5 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $18,913 – $27,939 · median $22,876 | 5 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $9,669 – $14,036 · median $11,694 | 5 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $6,544 – $9,509 · median $7,915 | 5 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $13,833 – $20,405 · median $16,731 | 5 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $8,381 – $12,049 · median $10,137 | 5 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $7,607 – $11,098 · median $9,201 | 5 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $16,533 – $23,768 · median $19,996 | 5 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $10,020 – $14,406 · median $12,120 | 5 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $7,133 – $10,506 · median $8,627 | 5 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $14,696 – $22,289 · median $17,774 | 5 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $9,911 – $14,321 · median $11,988 | 5 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $16,377 – $26,640 · median $19,808 | 5 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $8,718 – $12,533 · median $10,544 | 5 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $18,900 – $27,171 · median $22,860 | 5 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $8,603 – $12,443 · median $10,405 | 5 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $22,060 – $31,754 · median $26,682 | 5 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $13,220 – $19,392 · median $15,990 | 5 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $9,091 – $13,279 · median $10,995 | 5 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $21,545 – $31,564 · median $26,059 | 5 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $12,471 – $18,099 · median $15,083 | 5 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $8,405 – $12,708 · median $10,166 | 5 plans |
| 088 | CONCUSSION WITH MCC | $13,413 – $19,283 · median $16,223 | 5 plans |
| 089 | CONCUSSION WITH CC | $10,194 – $15,263 · median $12,329 | 5 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $8,151 – $11,718 · median $9,859 | 5 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $17,332 – $24,917 · median $20,963 | 5 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $10,066 – $14,471 · median $12,175 | 5 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $7,505 – $11,063 · median $9,077 | 5 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $34,692 – $49,874 · median $41,960 | 5 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $22,793 – $35,833 · median $27,568 | 5 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $22,793 – $35,833 · median $27,568 | 5 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $34,082 – $50,180 · median $41,223 | 5 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $20,626 – $31,884 · median $24,947 | 5 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $13,248 – $19,045 · median $16,023 | 5 plans |
| 100 | SEIZURES WITH MCC | $18,876 – $27,137 · median $22,831 | 5 plans |
| 101 | SEIZURES WITHOUT MCC | $8,764 – $12,599 · median $10,600 | 5 plans |
| 102 | HEADACHES WITH MCC | $11,025 – $15,849 · median $13,334 | 5 plans |
| 103 | HEADACHES WITHOUT MCC | $8,084 – $11,621 · median $9,777 | 5 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $21,456 – $32,664 · median $25,951 | 5 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $11,239 – $18,798 · median $13,594 | 5 plans |
| 115 | Extraocular procedures except orbit | $14,557 – $21,325 · median $17,607 | 5 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $15,865 – $25,120 · median $19,189 | 5 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $10,255 – $15,073 · median $12,404 | 5 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $11,060 – $16,162 · median $13,377 | 5 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $6,449 – $10,917 · median $7,800 | 5 plans |
| 123 | Neurological eye disorders | $7,637 – $11,095 · median $9,237 | 5 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $12,397 – $18,382 · median $14,995 | 5 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $7,851 – $11,286 · median $9,496 | 5 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $22,925 – $32,957 · median $27,728 | 5 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $9,301 – $14,106 · median $11,249 | 5 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $13,298 – $20,745 · median $16,084 | 5 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $7,735 – $12,312 · median $9,355 | 5 plans |
| 139 | Salivary gland procedures | $13,054 – $18,768 · median $15,790 | 5 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $40,211 – $59,259 · median $48,636 | 5 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $20,428 – $30,303 · median $24,708 | 5 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $14,950 – $22,179 · median $18,083 | 5 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $31,394 – $52,052 · median $37,972 | 5 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $16,703 – $24,076 · median $20,202 | 5 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $11,265 – $16,704 · median $13,625 | 5 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $21,812 – $31,358 · median $26,382 | 5 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $11,836 – $17,665 · median $14,315 | 5 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $7,613 – $11,074 · median $9,208 | 5 plans |
| 149 | Dysequilibrium | $7,107 – $10,442 · median $8,596 | 5 plans |
| 150 | EPISTAXIS WITH MCC | $13,142 – $18,893 · median $15,895 | 5 plans |
| 151 | EPISTAXIS WITHOUT MCC | $7,207 – $10,361 · median $8,717 | 5 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $10,790 – $16,425 · median $13,050 | 5 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $6,767 – $10,256 · median $8,185 | 5 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $15,463 – $22,230 · median $18,702 | 5 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $8,877 – $12,761 · median $10,736 | 5 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $6,393 – $9,602 · median $7,733 | 5 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $15,569 – $23,852 · median $18,831 | 5 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $8,943 – $12,857 · median $10,817 | 5 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $6,271 – $9,843 · median $7,585 | 5 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $43,824 – $63,003 · median $53,006 | 5 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $23,932 – $35,067 · median $28,946 | 5 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $17,723 – $26,594 · median $21,436 | 5 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $36,609 – $52,630 · median $44,278 | 5 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $17,373 – $25,055 · median $21,013 | 5 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $12,873 – $18,984 · median $15,570 | 5 plans |
| 173 | Ultrasound Accelerated and other Thrombolysis with Principal Diagnosis Pulmonary Embolism | $29,176 – $41,945 · median $35,289 | 5 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $13,398 – $19,261 · median $16,205 | 5 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $7,744 – $11,184 · median $9,367 | 5 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $15,370 – $22,096 · median $18,590 | 5 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $9,433 – $13,561 · median $11,409 | 5 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $7,318 – $10,521 · median $8,852 | 5 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $16,618 – $24,535 · median $20,100 | 5 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $10,557 – $15,177 · median $12,768 | 5 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $7,963 – $11,448 · median $9,631 | 5 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $15,092 – $21,697 · median $18,254 | 5 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $10,155 – $14,784 · median $12,283 | 5 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $7,394 – $10,927 · median $8,944 | 5 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $15,023 – $21,653 · median $18,170 | 5 plans |
| 187 | PLEURAL EFFUSION WITH CC | $9,546 – $13,742 · median $11,546 | 5 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $6,981 – $10,036 · median $8,443 | 5 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $11,765 – $17,164 · median $14,230 | 5 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $10,677 – $15,390 · median $12,915 | 5 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $8,168 – $11,743 · median $9,880 | 5 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $6,154 – $8,919 · median $7,443 | 5 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $12,529 – $18,261 · median $15,154 | 5 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $7,797 – $11,209 · median $9,430 | 5 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $5,921 – $8,732 · median $7,161 | 5 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $17,914 – $26,219 · median $21,667 | 5 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $9,413 – $13,532 · median $11,385 | 5 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $6,659 – $9,950 · median $8,055 | 5 plans |
| 199 | PNEUMOTHORAX WITH MCC | $16,784 – $24,509 · median $20,301 | 5 plans |
| 200 | PNEUMOTHORAX WITH CC | $10,530 – $15,273 · median $12,736 | 5 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $6,438 – $9,935 · median $7,787 | 5 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $9,191 – $13,493 · median $11,117 | 5 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $6,623 – $9,522 · median $8,011 | 5 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $7,711 – $11,217 · median $9,327 | 5 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $17,949 – $25,804 · median $21,710 | 5 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $8,612 – $13,075 · median $10,417 | 5 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $61,490 – $89,399 · median $74,373 | 5 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $25,518 – $38,188 · median $30,864 | 5 plans |
| 212 | Concomitant Aortic and Mitral Valve Procedures | $103,579 – $151,077 · median $125,280 | 5 plans |
| 215 | Other heart assist system implant | $100,735 – $144,820 · median $121,840 | 5 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $91,763 – $135,915 · median $110,988 | 5 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $61,402 – $91,352 · median $74,266 | 5 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $56,566 – $91,352 · median $68,417 | 5 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $73,568 – $106,677 · median $88,981 | 5 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $50,361 – $74,090 · median $60,912 | 5 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $43,666 – $70,025 · median $52,815 | 5 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $47,381 – $68,735 · median $57,308 | 5 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $29,535 – $43,757 · median $35,722 | 5 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $80,570 – $117,119 · median $97,450 | 5 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $58,082 – $84,229 · median $70,250 | 5 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MCC | $74,318 – $106,842 · median $89,889 | 5 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MCC | $50,584 – $75,895 · median $61,182 | 5 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $55,947 – $81,534 · median $67,668 | 5 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $39,098 – $58,196 · median $47,289 | 5 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $47,891 – $68,849 · median $57,924 | 5 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $27,689 – $39,807 · median $33,490 | 5 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $14,356 – $20,639 · median $17,364 | 5 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $32,251 – $46,365 · median $39,008 | 5 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $21,420 – $30,794 · median $25,907 | 5 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $17,159 – $25,112 · median $20,754 | 5 plans |
| 245 | AICD generator procedures | $46,464 – $66,798 · median $56,198 | 5 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $21,988 – $31,611 · median $26,595 | 5 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $14,857 – $21,359 · median $17,970 | 5 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $32,616 – $48,464 · median $39,450 | 5 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $24,274 – $36,061 · median $29,360 | 5 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $16,633 – $24,754 · median $20,118 | 5 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $24,878 – $37,476 · median $30,090 | 5 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $16,104 – $23,589 · median $19,478 | 5 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $8,480 – $15,174 · median $10,257 | 5 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $26,675 – $43,654 · median $32,263 | 5 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $16,712 – $28,094 · median $20,214 | 5 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $32,386 – $46,559 · median $39,171 | 5 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $18,042 – $26,265 · median $21,822 | 5 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $14,431 – $22,645 · median $17,455 | 5 plans |
| 263 | VEIN LIGATION AND STRIPPING | $25,501 – $42,477 · median $30,844 | 5 plans |
| 264 | Other circulatory system O.R. procedures | $33,231 – $47,775 · median $40,194 | 5 plans |
| 265 | AICD lead procedures | $33,917 – $50,269 · median $41,023 | 5 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC | $56,961 – $85,143 · median $68,894 | 5 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC | $44,732 – $66,143 · median $54,104 | 5 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $63,396 – $95,556 · median $76,677 | 5 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $39,560 – $58,674 · median $47,848 | 5 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $48,805 – $73,305 · median $59,030 | 5 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $32,749 – $49,409 · median $39,611 | 5 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $23,791 – $35,469 · median $28,775 | 5 plans |
| 273 | PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC | $37,179 – $57,317 · median $44,968 | 5 plans |
| 274 | PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC | $29,674 – $45,732 · median $35,892 | 5 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $67,193 – $99,064 · median $81,271 | 5 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $58,896 – $84,671 · median $71,236 | 5 plans |
| 277 | Cardiac Defibrillator Implant without MCC | $44,230 – $64,166 · median $53,497 | 5 plans |
| 278 | Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with MCC | $47,571 – $77,333 · median $57,538 | 5 plans |
| 279 | Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures without MCC | $30,467 – $50,105 · median $36,851 | 5 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $15,606 – $22,436 · median $18,876 | 5 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $8,764 – $12,769 · median $10,601 | 5 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $6,894 – $10,046 · median $8,339 | 5 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $18,592 – $27,520 · median $22,487 | 5 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $7,045 – $10,129 · median $8,522 | 5 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $5,338 – $8,321 · median $6,456 | 5 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $21,044 – $30,743 · median $25,453 | 5 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $10,361 – $14,895 · median $12,532 | 5 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $25,971 – $37,598 · median $31,412 | 5 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $14,991 – $23,714 · median $18,132 | 5 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $9,308 – $13,382 · median $11,259 | 5 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $12,406 – $17,836 · median $15,005 | 5 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $8,188 – $11,795 · median $9,904 | 5 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $5,217 – $7,864 · median $6,310 | 5 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $15,578 – $22,395 · median $18,842 | 5 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $6,697 – $9,628 · median $8,101 | 5 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $4,200 – $6,323 · median $5,080 | 5 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $15,380 – $22,684 · median $18,602 | 5 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $10,179 – $14,831 · median $12,312 | 5 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $6,783 – $9,999 · median $8,204 | 5 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $11,061 – $16,625 · median $13,378 | 5 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $6,393 – $9,353 · median $7,733 | 5 plans |
| 304 | HYPERTENSION WITH MCC | $11,170 – $16,533 · median $13,510 | 5 plans |
| 305 | HYPERTENSION WITHOUT MCC | $7,138 – $10,491 · median $8,633 | 5 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $14,237 – $21,893 · median $17,220 | 5 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $8,808 – $12,687 · median $10,654 | 5 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $11,466 – $16,727 · median $13,868 | 5 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $7,029 – $10,221 · median $8,502 | 5 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $5,320 – $7,865 · median $6,434 | 5 plans |
| 311 | Angina pectoris | $6,639 – $9,752 · median $8,030 | 5 plans |
| 312 | SYNCOPE AND COLLAPSE | $8,284 – $12,109 · median $10,020 | 5 plans |
| 313 | Chest pain | $6,783 – $10,003 · median $8,204 | 5 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $20,475 – $29,436 · median $24,765 | 5 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $9,150 – $13,383 · median $11,066 | 5 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,491 – $9,477 · median $7,851 | 5 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $41,767 – $62,004 · median $50,517 | 5 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $22,009 – $33,417 · median $26,620 | 5 plans |
| 321 | Percutaneous Cardiovascular Procedures with Intraluminal Device with MMC or 4+ Arteries/Intraluminal Devices | $27,067 – $38,913 · median $32,738 | 5 plans |
| 322 | Percutaneous Cardiovascular Procedures with Intraluminal Device without MCC | $17,202 – $24,730 · median $20,806 | 5 plans |
| 323 | Coronary Intravascular Lithotripsy with Intraluminal Device with MCC | $40,498 – $60,122 · median $48,983 | 5 plans |
| 324 | Coronary Intravascular Lithotripsy with Intraluminal Device without MCC | $30,379 – $43,778 · median $36,744 | 5 plans |
| 325 | Coronary Intravascular Lithotripsy without Intraluminal Device | $27,213 – $44,603 · median $32,914 | 5 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $48,291 – $69,425 · median $58,409 | 5 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $23,086 – $33,958 · median $27,923 | 5 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $15,151 – $22,261 · median $18,325 | 5 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $43,660 – $63,860 · median $52,807 | 5 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $22,474 – $33,305 · median $27,183 | 5 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $15,698 – $23,381 · median $18,987 | 5 plans |
| 332 | RECTAL RESECTION WITH MCC | $32,980 – $50,303 · median $39,890 | 5 plans |
| 333 | RECTAL RESECTION WITH CC | $20,207 – $32,541 · median $24,441 | 5 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $15,770 – $22,756 · median $19,074 | 5 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $34,451 – $49,611 · median $41,669 | 5 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $20,084 – $29,297 · median $24,291 | 5 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $14,596 – $21,326 · median $17,654 | 5 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $25,619 – $36,831 · median $30,987 | 5 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $14,155 – $20,905 · median $17,120 | 5 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $11,840 – $17,022 · median $14,321 | 5 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $22,504 – $32,352 · median $27,218 | 5 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $11,970 – $18,183 · median $14,477 | 5 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $8,376 – $12,095 · median $10,130 | 5 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $22,997 – $34,621 · median $27,815 | 5 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $14,305 – $21,180 · median $17,302 | 5 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $10,484 – $16,225 · median $12,680 | 5 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $27,887 – $40,318 · median $33,730 | 5 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $16,174 – $23,374 · median $19,563 | 5 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $12,676 – $18,686 · median $15,332 | 5 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $40,558 – $61,030 · median $49,056 | 5 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $21,412 – $32,309 · median $25,898 | 5 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $12,884 – $19,421 · median $15,584 | 5 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $15,878 – $22,827 · median $19,205 | 5 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $9,675 – $13,910 · median $11,702 | 5 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $6,637 – $9,736 · median $8,027 | 5 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $16,620 – $24,634 · median $20,102 | 5 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $9,787 – $14,185 · median $11,837 | 5 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $6,897 – $10,106 · median $8,342 | 5 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $20,075 – $29,713 · median $24,281 | 5 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $11,682 – $16,805 · median $14,130 | 5 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $8,396 – $12,842 · median $10,155 | 5 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $17,287 – $25,397 · median $20,909 | 5 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $9,374 – $13,625 · median $11,338 | 5 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $6,054 – $8,758 · median $7,322 | 5 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $18,296 – $27,261 · median $22,129 | 5 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $10,355 – $15,053 · median $12,525 | 5 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $7,124 – $11,123 · median $8,617 | 5 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $12,020 – $19,182 · median $14,538 | 5 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $8,268 – $11,887 · median $10,000 | 5 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $15,449 – $22,209 · median $18,685 | 5 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $9,437 – $13,566 · median $11,414 | 5 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $6,373 – $9,465 · median $7,708 | 5 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $13,976 – $20,518 · median $16,904 | 5 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $7,622 – $10,973 · median $9,218 | 5 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $5,203 – $7,558 · median $6,293 | 5 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $12,213 – $17,621 · median $14,772 | 5 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $7,419 – $10,831 · median $8,973 | 5 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $15,745 – $22,636 · median $19,044 | 5 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $8,950 – $13,000 · median $10,825 | 5 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $6,051 – $9,017 · median $7,319 | 5 plans |
| 397 | Appendix Procedures with MCC | $23,559 – $33,869 · median $28,495 | 5 plans |
| 398 | Appendix Procedures without MCC/CC | $14,388 – $21,029 · median $17,402 | 5 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $10,685 – $15,904 · median $12,924 | 5 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $51,616 – $76,003 · median $62,430 | 5 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $26,702 – $40,293 · median $32,297 | 5 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $20,307 – $30,837 · median $24,562 | 5 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $33,290 – $49,538 · median $40,265 | 5 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $19,934 – $30,250 · median $24,110 | 5 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $14,748 – $22,058 · median $17,838 | 5 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $26,018 – $45,894 · median $31,469 | 5 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $20,267 – $29,211 · median $24,513 | 5 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $15,807 – $23,070 · median $19,119 | 5 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $33,314 – $49,496 · median $40,294 | 5 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $18,808 – $28,713 · median $22,748 | 5 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $13,028 – $18,941 · median $15,757 | 5 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $22,596 – $33,155 · median $27,330 | 5 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $15,768 – $23,502 · median $19,072 | 5 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $12,528 – $18,975 · median $15,152 | 5 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $33,558 – $48,245 · median $40,589 | 5 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $15,570 – $24,140 · median $18,832 | 5 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $13,971 – $20,085 · median $16,898 | 5 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $38,673 – $57,699 · median $46,775 | 5 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $21,710 – $31,210 · median $26,258 | 5 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $14,697 – $21,130 · median $17,777 | 5 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $18,627 – $27,345 · median $22,530 | 5 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $10,172 – $14,674 · median $12,303 | 5 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $6,622 – $9,899 · median $8,010 | 5 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $17,348 – $25,518 · median $20,983 | 5 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $10,722 – $15,715 · median $12,969 | 5 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $7,466 – $11,855 · median $9,030 | 5 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $15,818 – $22,741 · median $19,133 | 5 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $8,179 – $11,758 · median $9,892 | 5 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $5,848 – $8,633 · median $7,074 | 5 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $17,974 – $25,840 · median $21,740 | 5 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $9,187 – $13,411 · median $11,111 | 5 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $6,681 – $9,721 · median $8,081 | 5 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $16,015 – $23,214 · median $19,371 | 5 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $10,311 – $15,205 · median $12,472 | 5 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $7,581 – $11,494 · median $9,169 | 5 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $80,525 – $116,751 · median $97,396 | 5 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $54,570 – $82,847 · median $66,003 | 5 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $41,056 – $59,023 · median $49,657 | 5 plans |
| 461 | Bilateral or multiple major joint procs of lower extremity w MCC | $58,348 – $83,883 · median $70,572 | 5 plans |
| 462 | Bilateral or multiple major joint procs of lower extremity w/o MCC | $27,229 – $39,145 · median $32,934 | 5 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $51,353 – $79,185 · median $62,112 | 5 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $28,035 – $43,273 · median $33,909 | 5 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $16,507 – $25,337 · median $19,965 | 5 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $48,439 – $72,320 · median $58,588 | 5 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $32,567 – $48,996 · median $39,390 | 5 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $24,942 – $38,179 · median $30,168 | 5 plans |
| 469 | Major joint replacement or reattachment of lower extremity w MCC | $31,079 – $44,680 · median $37,590 | 5 plans |
| 470 | Major joint replacement or reattachment of lower extremity w/o MCC | $17,927 – $26,799 · median $21,683 | 5 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $46,183 – $67,086 · median $55,859 | 5 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $27,547 – $40,931 · median $33,318 | 5 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $22,509 – $33,918 · median $27,225 | 5 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $42,641 – $61,301 · median $51,574 | 5 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $20,512 – $31,617 · median $24,809 | 5 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $11,059 – $16,397 · median $13,376 | 5 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $32,698 – $47,996 · median $39,549 | 5 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $22,235 – $34,166 · median $26,894 | 5 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $16,884 – $25,826 · median $20,422 | 5 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $27,963 – $40,461 · median $33,822 | 5 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $19,728 – $29,099 · median $23,861 | 5 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $15,083 – $22,660 · median $18,244 | 5 plans |
| 483 | MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | $24,228 – $38,511 · median $29,304 | 5 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $30,609 – $44,835 · median $37,022 | 5 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $20,166 – $29,052 · median $24,390 | 5 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $15,025 – $21,760 · median $18,172 | 5 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $18,687 – $26,865 · median $22,602 | 5 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $11,775 – $16,928 · median $14,242 | 5 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $33,765 – $51,010 · median $40,839 | 5 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $22,829 – $35,235 · median $27,612 | 5 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $17,926 – $27,877 · median $21,682 | 5 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $33,474 – $50,373 · median $40,487 | 5 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $18,759 – $26,969 · median $22,690 | 5 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $12,765 – $18,352 · median $15,440 | 5 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $24,007 – $41,913 · median $29,036 | 5 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $11,037 – $27,992 · median $13,349 | 5 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $30,128 – $43,969 · median $36,440 | 5 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $16,969 – $24,395 · median $20,524 | 5 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $13,285 – $19,098 · median $16,068 | 5 plans |
| 503 | FOOT PROCEDURES WITH MCC | $25,164 – $38,777 · median $30,436 | 5 plans |
| 504 | FOOT PROCEDURES WITH CC | $16,687 – $25,969 · median $20,183 | 5 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $16,687 – $24,908 · median $20,183 | 5 plans |
| 506 | Major thumb or joint procedures | $14,253 – $20,491 · median $17,240 | 5 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $18,428 – $26,493 · median $22,289 | 5 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $12,271 – $21,040 · median $14,842 | 5 plans |
| 510 | Shoulder,elbow or forearm proc,exc major joint proc w MCC | $27,175 – $41,965 · median $32,868 | 5 plans |
| 511 | Shoulder,elbow or forearm proc,exc major joint proc w CC | $18,647 – $28,890 · median $22,554 | 5 plans |
| 512 | Shoulder,elbow or forearm proc,exc major joint proc w/o CC/MCC | $15,287 – $22,999 · median $18,490 | 5 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $14,315 – $21,872 · median $17,314 | 5 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $9,694 – $14,203 · median $11,725 | 5 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $29,403 – $44,276 · median $35,563 | 5 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $19,127 – $28,872 · median $23,135 | 5 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $14,193 – $21,350 · median $17,166 | 5 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $34,077 – $51,923 · median $41,216 | 5 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $18,749 – $27,789 · median $22,677 | 5 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $13,627 – $20,755 · median $16,482 | 5 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $27,713 – $39,876 · median $33,519 | 5 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $20,044 – $29,422 · median $24,243 | 5 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $14,499 – $21,780 · median $17,536 | 5 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $7,740 – $11,199 · median $9,361 | 5 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $12,645 – $18,178 · median $15,294 | 5 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $7,710 – $11,220 · median $9,325 | 5 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $8,738 – $13,258 · median $10,569 | 5 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $6,385 – $10,007 · median $7,722 | 5 plans |
| 539 | OSTEOMYELITIS WITH MCC | $19,229 – $27,644 · median $23,258 | 5 plans |
| 540 | OSTEOMYELITIS WITH CC | $12,304 – $18,010 · median $14,882 | 5 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $8,319 – $11,959 · median $10,061 | 5 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $17,733 – $25,494 · median $21,449 | 5 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $10,087 – $14,501 · median $12,200 | 5 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $7,185 – $10,484 · median $8,691 | 5 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $24,026 – $34,540 · median $29,059 | 5 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $11,007 – $16,024 · median $13,314 | 5 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,095 – $11,618 · median $8,581 | 5 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $19,155 – $27,538 · median $23,168 | 5 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $11,458 – $16,772 · median $13,859 | 5 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $8,197 – $12,144 · median $9,914 | 5 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $16,224 – $23,325 · median $19,624 | 5 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $9,164 – $13,356 · median $11,084 | 5 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $12,417 – $18,010 · median $15,019 | 5 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $7,935 – $11,533 · median $9,598 | 5 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $12,803 – $18,407 · median $15,486 | 5 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $7,763 – $11,540 · median $9,390 | 5 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $14,735 – $21,183 · median $17,822 | 5 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $8,213 – $12,409 · median $9,934 | 5 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $17,650 – $25,910 · median $21,347 | 5 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $10,827 – $15,645 · median $13,095 | 5 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $7,774 – $11,176 · median $9,402 | 5 plans |
| 562 | Fx, sprn, strn & disl except femur, hip, pelvis & thigh w MCC | $13,915 – $20,005 · median $16,830 | 5 plans |
| 563 | Fx, sprn, strn & disl except femur, hip, pelvis & thigh w/o MCC | $8,498 – $12,441 · median $10,279 | 5 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $14,920 – $21,449 · median $18,046 | 5 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $9,695 – $13,938 · median $11,727 | 5 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $7,113 – $10,410 · median $8,603 | 5 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $28,621 – $41,146 · median $34,617 | 5 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $15,919 – $23,473 · median $19,254 | 5 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $10,862 – $15,926 · median $13,138 | 5 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $58,552 – $91,020 · median $70,819 | 5 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $32,944 – $48,229 · median $39,846 | 5 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $18,985 – $27,293 · median $22,962 | 5 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $51,299 – $73,748 · median $62,046 | 5 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $25,318 – $36,827 · median $30,622 | 5 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $16,072 – $23,106 · median $19,440 | 5 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $30,990 – $44,993 · median $37,483 | 5 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $16,858 – $24,235 · median $20,390 | 5 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $13,684 – $20,049 · median $16,551 | 5 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $16,650 – $26,767 · median $20,139 | 5 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $15,619 – $23,958 · median $18,891 | 5 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $19,467 – $29,741 · median $23,545 | 5 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $18,874 – $27,134 · median $22,829 | 5 plans |
| 592 | SKIN ULCERS WITH MCC | $19,551 – $28,108 · median $23,647 | 5 plans |
| 593 | SKIN ULCERS WITH CC | $11,625 – $16,713 · median $14,061 | 5 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $8,069 – $12,043 · median $9,760 | 5 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $20,110 – $29,463 · median $24,324 | 5 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $10,279 – $15,039 · median $12,433 | 5 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $16,703 – $24,012 · median $20,202 | 5 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $10,258 – $15,717 · median $12,407 | 5 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $8,128 – $11,686 · median $9,831 | 5 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $9,095 – $14,471 · median $11,001 | 5 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,700 – $8,405 · median $6,894 | 5 plans |
| 602 | CELLULITIS WITH MCC | $13,969 – $20,082 · median $16,896 | 5 plans |
| 603 | CELLULITIS WITHOUT MCC | $8,375 – $12,100 · median $10,129 | 5 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $14,126 – $20,452 · median $17,086 | 5 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $8,783 – $12,726 · median $10,623 | 5 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $15,311 – $22,011 · median $18,518 | 5 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $8,217 – $12,593 · median $9,938 | 5 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $21,669 – $31,152 · median $26,209 | 5 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $13,625 – $19,588 · median $16,480 | 5 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $36,748 – $52,831 · median $44,448 | 5 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $18,366 – $26,403 · median $22,213 | 5 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $11,838 – $19,705 · median $14,319 | 5 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $25,924 – $40,115 · median $31,355 | 5 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $15,184 – $22,233 · median $18,366 | 5 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $13,899 – $20,957 · median $16,811 | 5 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $35,579 – $51,149 · median $43,033 | 5 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $18,187 – $26,146 · median $21,997 | 5 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $9,537 – $17,393 · median $11,536 | 5 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $27,260 – $41,959 · median $32,972 | 5 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $14,350 – $20,832 · median $17,357 | 5 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $12,046 – $18,454 · median $14,569 | 5 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $37,516 – $53,934 · median $45,376 | 5 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $21,384 – $30,743 · median $25,865 | 5 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $13,324 – $20,277 · median $16,115 | 5 plans |
| 637 | DIABETES WITH MCC | $13,847 – $19,960 · median $16,747 | 5 plans |
| 638 | DIABETES WITH CC | $8,721 – $12,537 · median $10,548 | 5 plans |
| 639 | DIABETES WITHOUT CC/MCC | $5,958 – $8,630 · median $7,206 | 5 plans |
| 640 | Nutritional & misc metabolic disorders w MCC | $12,627 – $18,556 · median $15,272 | 5 plans |
| 641 | Nutritional & misc metabolic disorders w/o MCC | $7,430 – $10,812 · median $8,986 | 5 plans |
| 642 | Inborn errors of metabolism | $11,800 – $19,758 · median $14,273 | 5 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $15,758 – $22,870 · median $19,059 | 5 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $9,826 – $14,241 · median $11,884 | 5 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $7,404 – $10,674 · median $8,955 | 5 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $43,806 – $65,318 · median $52,984 | 5 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $33,017 – $51,486 · median $39,934 | 5 plans |
| 652 | Kidney transplant | $29,203 – $44,868 · median $35,321 | 5 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $53,003 – $76,199 · median $64,108 | 5 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $26,833 – $38,891 · median $32,454 | 5 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $19,751 – $29,406 · median $23,889 | 5 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $30,977 – $44,534 · median $37,467 | 5 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $17,382 – $25,425 · median $21,023 | 5 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $14,300 – $21,560 · median $17,296 | 5 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $24,572 – $35,325 · median $29,719 | 5 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $12,741 – $18,363 · median $15,410 | 5 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $9,761 – $14,385 · median $11,806 | 5 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $29,661 – $42,642 · median $35,875 | 5 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $14,523 – $21,121 · median $17,565 | 5 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $10,267 – $14,760 · median $12,418 | 5 plans |
| 665 | PROSTATECTOMY WITH MCC | $32,647 – $46,934 · median $39,486 | 5 plans |
| 666 | PROSTATECTOMY WITH CC | $15,663 – $24,303 · median $18,944 | 5 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $9,772 – $15,369 · median $11,820 | 5 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $27,728 – $40,568 · median $33,537 | 5 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $14,714 – $21,562 · median $17,796 | 5 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $9,087 – $13,578 · median $10,991 | 5 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $16,389 – $24,938 · median $19,823 | 5 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $10,406 – $14,998 · median $12,586 | 5 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $39,835 – $58,374 · median $48,180 | 5 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $21,948 – $32,491 · median $26,547 | 5 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $14,883 – $22,804 · median $18,001 | 5 plans |
| 682 | RENAL FAILURE WITH MCC | $14,280 – $20,576 · median $17,272 | 5 plans |
| 683 | RENAL FAILURE WITH CC | $8,452 – $12,168 · median $10,222 | 5 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $5,775 – $8,340 · median $6,985 | 5 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $17,929 – $25,776 · median $21,686 | 5 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $10,009 – $14,557 · median $12,106 | 5 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $6,886 – $10,980 · median $8,328 | 5 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $11,127 – $16,120 · median $13,458 | 5 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $7,631 – $11,247 · median $9,230 | 5 plans |
| 693 | URINARY STONES WITH MCC | $13,981 – $20,099 · median $16,910 | 5 plans |
| 694 | URINARY STONES WITHOUT MCC | $7,430 – $10,860 · median $8,986 | 5 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $10,723 – $15,891 · median $12,970 | 5 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $6,578 – $9,572 · median $7,956 | 5 plans |
| 697 | Urethral stricture | $9,525 – $14,974 · median $11,521 | 5 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $15,982 – $22,985 · median $19,330 | 5 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $9,697 – $14,102 · median $11,729 | 5 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $6,600 – $9,585 · median $7,983 | 5 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $18,451 – $27,791 · median $22,317 | 5 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $14,096 – $21,315 · median $17,049 | 5 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $21,365 – $32,331 · median $25,842 | 5 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $14,275 – $20,523 · median $17,266 | 5 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $18,166 – $28,951 · median $21,972 | 5 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $10,170 – $15,278 · median $12,300 | 5 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $13,749 – $20,887 · median $16,629 | 5 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $8,935 – $14,691 · median $10,807 | 5 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $21,472 – $31,083 · median $25,970 | 5 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $13,495 – $20,437 · median $16,322 | 5 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $17,642 – $26,265 · median $21,338 | 5 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $11,713 – $18,660 · median $14,167 | 5 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $16,438 – $25,143 · median $19,882 | 5 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $10,677 – $15,876 · median $12,913 | 5 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,928 – $9,959 · median $8,379 | 5 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $12,005 – $17,258 · median $14,520 | 5 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $7,078 – $10,175 · median $8,561 | 5 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $13,971 – $20,602 · median $16,898 | 5 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $7,769 – $11,270 · median $9,397 | 5 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $10,467 – $15,048 · median $12,660 | 5 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,770 – $9,336 · median $6,979 | 5 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $19,993 – $29,593 · median $24,182 | 5 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $11,542 – $18,693 · median $13,960 | 5 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $37,439 – $53,823 · median $45,282 | 5 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $19,001 – $28,628 · median $22,982 | 5 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $14,423 – $20,735 · median $17,444 | 5 plans |
| 739 | Uterine,adnexa proc for non-ovarian/adnexal malig w MCC | $37,850 – $54,415 · median $45,780 | 5 plans |
| 740 | Uterine,adnexa proc for non-ovarian/adnexal malig w CC | $17,288 – $25,141 · median $20,910 | 5 plans |
| 741 | Uterine,adnexa proc for non-ovarian/adnexal malig w/o CC/MCC | $13,060 – $19,813 · median $15,796 | 5 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $17,368 – $25,491 · median $21,007 | 5 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $11,397 – $17,237 · median $13,785 | 5 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $18,579 – $28,469 · median $22,471 | 5 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $9,744 – $15,804 · median $11,785 | 5 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $15,922 – $24,134 · median $19,258 | 5 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $9,082 – $13,057 · median $10,985 | 5 plans |
| 748 | Female reproductive system reconstructive procedures | $12,953 – $19,274 · median $15,666 | 5 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $24,612 – $35,672 · median $29,769 | 5 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $12,261 – $20,504 · median $14,829 | 5 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $17,203 – $25,587 · median $20,807 | 5 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $10,555 – $15,174 · median $12,766 | 5 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $9,080 – $13,344 · median $10,983 | 5 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $13,457 – $19,894 · median $16,276 | 5 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $9,692 – $13,933 · median $11,722 | 5 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,085 – $9,220 · median $7,360 | 5 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $9,371 – $13,997 · median $11,334 | 5 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $6,027 – $8,665 · median $7,290 | 5 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $5,500 – $14,985 · median $12,607 | 5 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $13,211 – $23,477 · median $15,979 | 5 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $10,231 – $14,708 · median $12,374 | 5 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $6,784 – $9,753 · median $8,205 | 5 plans |
| 779 | ABORTION WITHOUT D&C | $8,888 – $12,778 · median $10,750 | 5 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $8,000 – $34,109 · median $21,184 | 5 plans |
| 789 | Neonates, died or transferred to another acute care facility | $1,200 – $25,038 · median $20,730 | 5 plans |
| 790 | Extreme immaturity or respiratory distress syndrome, neonate | $1,500 – $82,575 · median $68,365 | 5 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $1,500 – $56,393 · median $46,689 | 5 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $1,200 – $34,027 · median $28,172 | 5 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $1,500 – $57,929 · median $47,961 | 5 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $1,200 – $20,505 · median $16,976 | 5 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $5,500 – $17,450 · median $14,681 | 5 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $5,500 – $13,899 · median $11,134 | 5 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $5,500 – $13,297 · median $11,134 | 5 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $45,209 – $64,993 · median $54,680 | 5 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $27,704 – $39,829 · median $33,509 | 5 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $15,609 – $26,521 · median $18,880 | 5 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $34,084 – $55,352 · median $41,225 | 5 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $16,924 – $25,826 · median $20,470 | 5 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $10,512 – $18,839 · median $12,714 | 5 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $5,500 – $14,994 · median $11,477 | 5 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $21,776 – $31,306 · median $26,338 | 5 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $11,776 – $17,587 · median $14,243 | 5 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $9,050 – $14,541 · median $10,946 | 5 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $13,377 – $19,510 · median $16,179 | 5 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $8,775 – $12,757 · median $10,613 | 5 plans |
| 813 | Coagulation disorders | $14,718 – $21,191 · median $17,802 | 5 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $19,876 – $29,547 · median $24,041 | 5 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $9,661 – $14,088 · median $11,685 | 5 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $6,270 – $9,013 · median $7,583 | 5 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $24,104 – $34,652 · median $29,154 | 5 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $12,246 – $17,606 · median $14,812 | 5 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $7,763 – $11,947 · median $9,390 | 5 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $55,358 – $81,481 · median $66,956 | 5 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $21,226 – $31,101 · median $25,673 | 5 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $10,874 – $16,727 · median $13,153 | 5 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $44,493 – $63,964 · median $53,814 | 5 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $20,912 – $31,477 · median $25,293 | 5 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $11,702 – $18,748 · median $14,154 | 5 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $45,405 – $65,276 · median $54,918 | 5 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $22,438 – $32,257 · median $27,139 | 5 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $15,240 – $23,671 · median $18,433 | 5 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $29,321 – $43,903 · median $35,464 | 5 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $13,905 – $20,909 · median $16,819 | 5 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $10,944 – $16,707 · median $13,237 | 5 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $7,106 – $10,216 · median $8,595 | 5 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,942 – $7,265 · median $5,978 | 5 plans |
| 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC | $52,554 – $76,273 · median $63,564 | 5 plans |
| 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC | $20,308 – $29,196 · median $24,563 | 5 plans |
| 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $12,082 – $17,369 · median $14,613 | 5 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $47,608 – $68,443 · median $57,583 | 5 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $19,284 – $29,001 · median $23,324 | 5 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $13,030 – $20,060 · median $15,760 | 5 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $30,321 – $44,943 · median $36,674 | 5 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $14,909 – $22,665 · median $18,032 | 5 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $10,001 – $14,378 · median $12,097 | 5 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $18,002 – $27,714 · median $21,773 | 5 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $11,364 – $16,914 · median $13,745 | 5 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $7,956 – $11,831 · median $9,623 | 5 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $24,282 – $36,018 · median $29,369 | 5 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $12,082 – $18,175 · median $14,613 | 5 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $7,786 – $11,801 · median $9,417 | 5 plans |
| 849 | Radiotherapy | $25,397 – $37,644 · median $30,718 | 5 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $47,552 – $68,613 · median $57,515 | 5 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $18,998 – $27,760 · median $22,978 | 5 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $15,456 – $22,220 · median $18,694 | 5 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $42,896 – $63,196 · median $51,883 | 5 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $20,717 – $29,783 · median $25,057 | 5 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $12,250 – $19,352 · median $14,817 | 5 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $17,482 – $25,337 · median $21,145 | 5 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $9,507 – $13,864 · median $11,499 | 5 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $8,538 – $12,333 · median $10,327 | 5 plans |
| 865 | VIRAL ILLNESS WITH MCC | $14,033 – $20,816 · median $16,973 | 5 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $8,413 – $12,094 · median $10,175 | 5 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $20,388 – $29,310 · median $24,659 | 5 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $9,984 – $14,354 · median $12,076 | 5 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $6,842 – $10,138 · median $8,275 | 5 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $66,142 – $96,027 · median $80,000 | 5 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $18,656 – $26,988 · median $22,564 | 5 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $9,803 – $14,217 · median $11,857 | 5 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $37,363 – $53,714 · median $45,190 | 5 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $9,114 – $13,340 · median $11,024 | 5 plans |
| 881 | Depressive neuroses | $8,691 – $13,072 · median $10,512 | 5 plans |
| 882 | Neuroses except depressive | $9,147 – $14,919 · median $11,063 | 5 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $17,627 – $27,318 · median $21,320 | 5 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $15,880 – $22,830 · median $19,207 | 5 plans |
| 885 | Psychoses | $13,402 – $19,406 · median $16,210 | 5 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $17,081 – $28,833 · median $20,660 | 5 plans |
| 887 | Other mental disorder diagnoses | $11,309 – $16,258 · median $13,678 | 5 plans |
| 894 | Alcohol/drug abuse or dependence, left AMA | $5,934 – $8,571 · median $7,177 | 5 plans |
| 895 | Alcohol/drug abuse or dependence w rehabilitation therapy | $13,767 – $19,791 · median $16,651 | 5 plans |
| 896 | Alcohol/drug abuse or dependence w/o rehabilitation therapy w MCC | $16,932 – $24,342 · median $20,479 | 5 plans |
| 897 | Alcohol/drug abuse or dependence w/o rehabilitation therapy w/o MCC | $8,388 – $12,265 · median $10,145 | 5 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $42,125 – $60,561 · median $50,951 | 5 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $18,042 – $26,599 · median $21,822 | 5 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $11,591 – $16,664 · median $14,020 | 5 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $36,711 – $52,777 · median $44,403 | 5 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $15,671 – $22,529 · median $18,954 | 5 plans |
| 906 | Hand procedures for injuries | $20,751 – $29,833 · median $25,099 | 5 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $37,877 – $54,453 · median $45,813 | 5 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $19,179 – $27,720 · median $23,197 | 5 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $12,059 – $18,238 · median $14,585 | 5 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $15,387 – $22,710 · median $18,610 | 5 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $8,713 – $12,526 · median $10,539 | 5 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $16,524 – $23,755 · median $19,986 | 5 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $6,314 – $9,257 · median $7,637 | 5 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $15,590 – $22,413 · median $18,857 | 5 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $8,411 – $12,092 · median $10,173 | 5 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $17,339 – $25,436 · median $20,971 | 5 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $9,659 – $13,925 · median $11,683 | 5 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $6,539 – $9,564 · median $7,909 | 5 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $16,063 – $24,305 · median $19,428 | 5 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $9,697 – $14,139 · median $11,729 | 5 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $225,556 – $324,267 · median $272,812 | 5 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $63,503 – $99,652 · median $76,807 | 5 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $30,239 – $44,747 · median $36,575 | 5 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $41,140 – $59,144 · median $49,759 | 5 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $20,402 – $30,712 · median $24,677 | 5 plans |
| 935 | Non-extensive burns | $20,883 – $30,023 · median $25,259 | 5 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $30,178 – $50,412 · median $36,501 | 5 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $20,075 – $32,467 · median $24,281 | 5 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $18,581 – $28,171 · median $22,474 | 5 plans |
| 945 | REHABILITATION WITH CC/MCC | $849 – $21,515 · median $17,555 | 5 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $849 – $15,933 · median $12,840 | 5 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $12,229 – $17,636 · median $14,791 | 5 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $7,554 – $11,122 · median $9,137 | 5 plans |
| 949 | AFTERCARE WITH CC/MCC | $10,259 – $16,529 · median $12,409 | 5 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $5,573 – $8,721 · median $6,740 | 5 plans |
| 951 | Other factors influencing health status | $5,391 – $7,750 · median $6,521 | 5 plans |
| 955 | Craniotomy for multiple significant trauma | $64,923 – $93,517 · median $78,525 | 5 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $36,343 – $52,280 · median $43,958 | 5 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $70,970 – $105,865 · median $85,838 | 5 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $39,076 – $58,545 · median $47,263 | 5 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $25,138 – $40,903 · median $30,405 | 5 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $25,830 – $37,981 · median $31,242 | 5 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $14,263 – $21,293 · median $17,251 | 5 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $8,677 – $13,067 · median $10,495 | 5 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $60,131 – $86,447 · median $72,729 | 5 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $25,228 – $36,642 · median $30,513 | 5 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $28,393 – $40,818 · median $34,341 | 5 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $13,515 – $19,429 · median $16,346 | 5 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $9,537 – $13,710 · median $11,535 | 5 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $13,710 – $19,709 · median $16,582 | 5 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $45,200 – $65,184 · median $54,670 | 5 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $23,278 – $34,157 · median $28,155 | 5 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $15,861 – $23,813 · median $19,184 | 5 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $33,304 – $47,878 · median $40,281 | 5 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $16,316 – $23,456 · median $19,734 | 5 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $10,986 – $16,661 · median $13,288 | 5 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $14,702 – $21,136 · median $16,623 | 4 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $9,488 – $13,640 · median $10,727 | 4 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $6,339 – $9,113 · median $7,167 | 4 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $11,676 – $16,786 · median $13,201 | 4 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $7,509 – $10,796 · median $8,490 | 4 plans |
| 509 | Arthroscopy | $16,703 – $24,012 · median $18,885 | 4 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $84,562 – $92,897 · median $88,730 | 2 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $53,476 – $55,858 · median $54,667 | 2 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $143,188 – $153,120 · median $148,154 | 2 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $97,087 – $100,290 · median $98,688 | 2 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $75,236 – $78,108 · median $76,672 | 2 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $114,008 – $125,173 · median $119,590 | 2 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $74,776 – $80,124 · median $77,450 | 2 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $91,647 – $92,829 · median $92,238 | 2 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $55,817 – $58,918 · median $57,368 | 2 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $70,397 – $74,045 · median $72,221 | 2 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $42,183 – $44,881 · median $43,532 | 2 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $120,309 – $125,917 · median $123,113 | 2 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $157,255 – $157,255 · median $157,255 | 1 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $79,287 – $79,287 · median $79,287 | 1 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $33,652 – $33,652 · median $33,652 | 1 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $47,773 – $47,773 · median $47,773 | 1 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $33,542 – $33,542 · median $33,542 | 1 plans |
No procedures match that keyword.